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| 22KS-023 |
Association between body composition and chronic lower back pain in Korean adults aged over 50 years
성균관대학교 강북삼성병원 마취통증의학교실
Abstract
1)Background: The relationship between overweight or obesity and lower back pain (LBP) has previously been investigated. Several recent studies have focused on the relationship between other indicators of obesity, particularly indicators of fat and the risk of LBP. However, the results of body composition and LBP have been inconsistent.
2) Objectives: Our aim was to examine the relationship between body composition, such as fat and lean tissue mass, and LBP.
3) Study design: A retrospective, cross-sectional study
4) Setting: National Health and Nutrition Examination Survey conducted in 2010 and 2011 by the Korean Centers for Disease Control and Prevention.
5)Methods: All data for the present study were extracted from the Korea National Health and Nutrition Examination Survey (KNHANES) versions V-1 and 2 conducted in 2010 and 2011 by the Korean Centers for Disease Control and Prevention. In KNHANES V-1 (2010) and V-2 (2011) examinations and health surveys, those over 50 years of age completed the surveys on LBP, body weight, and body composition assessed using dual-energy X-ray absorptiometry (DXA) were included. The multivariable logistic regression analysis was used to examine the relationship between the presence of chronic LBP and body composition adjusting for confounders.
6)Results: We analyzed 4,153 persons who responded to the LBP question. In the multivariable analyses adjusting for age and sex, none of the variables, including fat mass and fat-free mass, remained positively or negatively associated with LBP. Additionally, when depression, smoking, alcohol intake, physical activity, diabetes mellitus, and independent fat or lean tissue mass were included in the multivariable logistic model, no significant associations were found between all measures of fat mass, fat-free mass, and LBP
7)Limitations: We could not analyze hip, waist circumference, and hip/waist ratio due to lack of dates in KNHANES. The analyzed LBP was nonspecific, not classified as disc herniation or spinal stenosis
8)Conclusion: This study is contrary to previous studies that concluded that there is a correlation between obesity and fat mass and LBP.
Keywords: Lower back pain, weight, body mass index, fat mass, fat mass index, fat free mass, fat free mass index.
1)Background: The relationship between overweight or obesity and lower back pain (LBP) has previously been investigated. Several recent studies have focused on the relationship between other indicators of obesity, particularly indicators of fat and the risk of LBP. However, the results of body composition and LBP have been inconsistent.
2) Objectives: Our aim was to examine the relationship between body composition, such as fat and lean tissue mass, and LBP.
3) Study design: A retrospective, cross-sectional study
4) Setting: National Health and Nutrition Examination Survey conducted in 2010 and 2011 by the Korean Centers for Disease Control and Prevention.
5)Methods: All data for the present study were extracted from the Korea National Health and Nutrition Examination Survey (KNHANES) versions V-1 and 2 conducted in 2010 and 2011 by the Korean Centers for Disease Control and Prevention. In KNHANES V-1 (2010) and V-2 (2011) examinations and health surveys, those over 50 years of age completed the surveys on LBP, body weight, and body composition assessed using dual-energy X-ray absorptiometry (DXA) were included. The multivariable logistic regression analysis was used to examine the relationship between the presence of chronic LBP and body composition adjusting for confounders.
6)Results: We analyzed 4,153 persons who responded to the LBP question. In the multivariable analyses adjusting for age and sex, none of the variables, including fat mass and fat-free mass, remained positively or negatively associated with LBP. Additionally, when depression, smoking, alcohol intake, physical activity, diabetes mellitus, and independent fat or lean tissue mass were included in the multivariable logistic model, no significant associations were found between all measures of fat mass, fat-free mass, and LBP
7)Limitations: We could not analyze hip, waist circumference, and hip/waist ratio due to lack of dates in KNHANES. The analyzed LBP was nonspecific, not classified as disc herniation or spinal stenosis
8)Conclusion: This study is contrary to previous studies that concluded that there is a correlation between obesity and fat mass and LBP.
Keywords: Lower back pain, weight, body mass index, fat mass, fat mass index, fat free mass, fat free mass index.
